Fraxel Fractional Micro-Dermal Ablation


  What is Fraxel Fractional Micro-Dermal Ablation (FMDA) 600u?

Fraxel FMDA 600u is a minimally-invasive laser therapy providing a wide array of treatment options to address many signs of aging, customized to individual needs and concerns, and requiring less social downtime when compared to our “Gold Standard” Fraxel FDDA 135u or physician provided procedures such as rhytidectomy (face lift). It’s the perfect solution for clients who want their skin to look younger, but don’t want to have surgery or can’t afford a lot of time away from work or their social life. Most of us wish we could slow down the effects that aging has on our appearance – and maybe even get a few years back in the process. Fraxel is proven laser technology that can help reverse the visible effects of aging, naturally helping you look as young as you feel. With Fraxel, change isn’t drastic or scary – it’s you, just younger.

What are Fraxel FMDA 600u treatments used for?

  • Minimizing the appearance of age spots, sun spots, freckles and pigmented lesions
  • Reduction of fine lines, wrinkles & superficial scarring
  • Improvement of textural irregularities of the skin
  • Overall resurfacing of the epidermis
  • Collagen and Elastin stimulation

How does the Fraxel FMDA 600u treatment work?

Fraxel FMDA 600u uses a high-intensity carbon dioxide (CO2) laser. Through fractional technology, thousands of microscopic laser columns penetrate the skin to remove old and damaged skin cells. This stimulates your body’s natural healing process, which replaces the cells with fresh, glowing healthy skin. Unlike traditional CO2 lasers, which treat the entire skin surface, the Fraxel laser targets a fraction of the skin at a time (like aerating your lawn), leaving the surrounding tissue intact. This “fractional” treatment allows your body to heal the skin much faster than if the entire area were treated at once.

Is Fraxel Treatment Right for Me?

Fraxel is for clients who want to look rejuvenated and want real results – but don’t want the overt change or extended downtimes that come with surgery.  Fraxel can fit into any lifestyle and current beauty regimen. This treatment is clinically proven to be safe and can be easily managed into your routine with a social downtime of about 5-7 days. This CO2 laser delivers a simple, effective treatment that really reverses signs of aging.

How many treatments are required?

This laser treatment is incredibly efficient and most clients see their desired results with just one treatment! For even more dramatic rejuvenation results with a single session, see the end of this blog for information on Fraxel FDDA 135u with Dr. Christine Kurz.

What can I expect at my Fraxel Treatment?

Prior to treatment, all makeup creams and lotions will be cleaned from the treatment area, and pre-procedure photos will be taken. A topical freezing cream is then placed on the skin to be anesthetized, and oral medication will also be given to help you stay calm and lessen the sensation of the procedure.  After the numbing cream has taken effect (about one hour), the laser technician will begin your treatment. Your laser technician will put special goggles over your eyes to protect them from the intense flash of the Fraxel Laser. The Fraxel handpiece is gently applied to your skin and the CO2 laser is rolled across the skin that is being treated. The procedure itself takes about 30 minutes for the full face.

What can I expect after treatment?

Most Fraxel patients report the sensation of a “light sunburn” immediately after treatment, and in the next few days you may experience swelling and redness, oozing/bleeding and peeling; however, these skin reactions do not always occur with every patient. You may need to schedule time off work to allow the skin to heal, as swelling usually subsides within a week, although redness can last up to a month post-procedure.  Most clients can expect to return to their routine activities within five to seven days. Your therapist will go over post-care and a skin care regimen to help you maintain your amazing results with Fraxel. Proper home care is essential in preventing post-procedural complications.

Are there side effects or possible complications?

The Fraxel laser offers great results because it is an aggressive treatment. Your technician will provide you with specific instructions about what to expect for your particular treatment and how to minimize side effects.

Hyperpigmentation (darkening of skin) is a possible complication of Fraxel treatment.  Causes of hyperpigmentation include:
1. Unprotected sun exposure in the 2 weeks post-treatment.
2. Skin irritants – such as pulling / picking at skin, blow driers, wind, etc. post-treatment.
3. Tendency to hyperpigmentation before Fraxel (Asian, First Nations, African, Mediterranean descent). These patients may have benefit from pretreatment medication to dampen down the melanocytes (and prevent post-procedure hyperpigmentation) for a few days before the treatment.
4. Oil based products placed on open skin. Moisturizers should have water or Aqua as the 1st ingredient. Azure can recomend products for the 1st 2 weeks after the procedure. Avoid retinol before treatment, use gentle cleansers and avoid any active ingredients for 14 days after treatment.
5. Infection of the skin.

Post-treatment, skin is still healing, building collagen and repairing old damage. If hyperpigmentation occurs, it usually starts about 4 weeks after a treatment and is generally very reversible. Sometimes, it is just the way some people’s bodies respond to skin stress states. Low dose hydroquinone cream (2 – 4%) – applied sparingly to the hyperpigmented areas, twice a day for 2 weeks, will typically improve this condition.

How long will results last?

Results are immediate and progressive.  Soon after treatment, the surface of your skin will feel softer, look brighter, and show a more even skin tone, Over three to six months, you will see even more results as the deeper layers continue to heal. Results can last for years depending on individual factors like age and skin condition. Fraxel will improve many of the visible signs of aging and sun-damaged skin; however, with the passage of time and with environmental exposure, skin ages as we do.  If you are exposed to a lot of sun and do not use sunscreen, the underlying issues will return sooner.  We encourage our clients and provide directions to follow an effective preventative skin care regime and keep it protected from the sun, so that the skin will continue to look younger and healthier. Quality sunscreen, hats and sunglasses are excellent protection for overall skin health.

Fraxel Options for Even More Dramatic Results – Fraxel FDDA 135u with Dr. Christine Kurz

AZURE offers an array of skin care options to rejuvenate the skin and give our clients optimal anti-aging results. Fraxel is offered at different levels of intensity in our clinic: Fraxel 600u, as well as the even more powerful Fraxel Fractional Deep-Dermal Ablation (FDDA) 135u performed solely by Dr. Christine Kurz.  The Fraxel 135u is an aggressive CO2 laser that is typically only used by an experienced plastic surgeon. This laser treatment provides the benefits of the 600u treatment and also excels at treating deeper wrinkles, furrows, rhytides, severe photodamage, vascular dyschromia, acne scars, and surgical or traumatic scars. Skin tightening, coagulation and tissue contraction are actually visible during this procedure.  However; with appropriate settings, the 135u Fraxel can also be used on the delicate eyelid skin and around the mouth.  Additionally, 2mm Fraxel is available for bulk ablation in special circumstances determined by Dr. Kurz during skin examination and consultation.

The Fraxel 135u CO2 laser uses the same technology as the Fraxel 600u but with a change in how deep the laser beams penetrates the skin and how much surface area each beam covers. Generally, the Fraxel 135u laser goes deeper with more narrow beams (135 micron diameter); the Fraxel 600u has shallower penetration in wider beams (600 micron diameter).  Treatment depth and energy is customized for each patient’s specific requirements. For more information on Fraxel FDDA 135u, please call the doctor’s line at (250) 561-7224 or visit our sister site